Basic service Division

Integrated Counseling and Testing Centre An Integrated Counseling and Testing Centre (ICTC) is a place where a person is counseled and tested for HIV on his own free will or as advised by a medical provider. HIV counseling and testing services are key entry points to prevention of HIV infection to treatment and care of people already infected with HIV. When availing counseling and testing services people can access accurate information about HIV prevention and care and undergo an HIV test in a supportive and confidential environment. People who are found to be HIV negative are supported with information and counseling to reduce the risk and remain HIV free and people found positive are provided psychological support and linked to treatment and care.

ICTC provides an entry point for both men and women requiring different services. For instance all positives would be referred to ART centres, those found with STI symptoms to STI clinic and those with TB symptoms to RNTCP centre. There are 3 types of ICTCs

1. Fixed facility ICTC: these are located within existing health care facilities/hospitals/centres. It can be of two types * Stand alone ICTC - having a full time Counselor and a Laboratory Technician who undertake HIV counseling and testing. Such facilities exist in Medical Colleges and District Hospitals and in some Sub District Hospitals or CHCs. * Facility integrated (24x7) - which does not have a full time staffs and provide HIV counseling and testing as a service along with other services. Existing staffs such as the Auxiliary Nurse Midwife/Staff Nurse/Health Supervisor/Laboratory Technician/Pharmacist are expected to undertake HIV counseling and testing. Such ICTCs are established in facilities which do not have a large client load and where it will be uneconomical to establish a Stand Alone ICTC. Such facilities are 24 hour PHCs as well as private sectors/ not for profit hospitals, private laboratories, public sector organization run hospitals or facilities and in the NGO sectors. 2. Mobile ICTCs: It is often seen that high risk/vulnerable populations are less likely to access fixed facility ICTCs due to several hurdles, the most important ones being distance and timing. Mobile ICTCs can be a way of taking packaged of health services into the community.

Currently there are 27 stand alone ICTCs, 27 24x7 PHCs and 9 mobile ICTCs in Mizoram. Capacity building of counselors is done by Mizoram University under Saksham Project of GFATM Round 9. Laboratory technicians are regularly trained by State Reference Laboratory (SRL) located in Civil Hospital, Aizawl.